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Choroidal melanoma
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These images of a patient who presented with complaints of “shadowing to the side of his vision” were chosen as the winner of this month’s “Ocular Photography Challenge.” Douglas Kelley, OD, of Beloit, Wis., said the patient noticed that the shadowing suddenly appeared in his right eye about 1 week prior. There were no other symptoms.
The patient’s vision was 20/20 in the affected eye and was full to finger-counting although he repeatedly stated it was difficult to see temporally. The anterior segment exam was unremarkable. Dilated fundus examination showed a large, elevated choroidal melanoma compressing his optic nerve from the superior nasal quadrant. He was referred to a retinologist for treatment with radiation and a full cancer work-up.
The image was captured with a P200 Optomap (Optos, Marlborough, Mass.) and the field was acquired with a Humphrey Field Analyzer (Carl Zeiss Meditec, Dublin, Calif.).
As this month’s winner, Dr. Kelley will receive a pair of YF series binoculars, provided by Kowa.
Submissions for the contest can be emailed to nhemphill@slackinc.com. They are judged anonymously by a panel of Primary Care Optometry News Editorial Board members. Please provide a photo of at least 300 dpi, a 100-word description of the case including what imaging system was used and the name of your home town. Photos may not have been previously published. You will be asked to grant permission to SLACK Inc. to publish your photo.
Contestants are permitted to win once a year. Kowa provides the prizes, including one annual grand prize awarded to the winner chosen from among each round’s winners. Delivery of prizes may take up to 120 days.